Phase 2/3 testing of osivelotor in adults and adolescents with sickle cell disease.
Official title: A PHASE 2/3 RANDOMIZED, MULTICENTER STUDY OF OSIVELOTOR ADMINISTERED ORALLY TO ADULT AND ADOLESCENT PARTICIPANTS WITH SICKLE CELL DISEASE
Run by Pfizer · NCT05431088 · Data updated 2026-11-12
This trial tests whether an oral medicine called osivelotor can safely reduce pain crises and improve blood measures in people aged 12–65 with sickle cell disease.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 12 Years and up |
| Sex | All |
| Enrollment | 389 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Locations | 80 sites (Mobile, Alabama and 79 other locations) |
| Status | Recruiting |
| Started | September 22, 2022 |
| Main results expected | December 30, 2030 |
| Study ends | December 31, 2032 |
| Registry record updated | August 18, 2026 |
| Trial ID | NCT05431088 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people aged 12–65 with sickle cell disease who have had 2 to 10 vaso-occlusive crises in the past year and can keep a stable dose of hydroxyurea or L‑glutamine if they are taking those medicines.
✕Probably not a fit
Patients who are pregnant or breastfeeding, receive regular red blood cell transfusions, have had more than 10 crises in the past year, or were recently hospitalized for a vaso-occlusive event are unlikely to qualify or benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicenter, Phase 2/3 program gives oral osivelotor to adolescents and adults with sickle cell disease to define an optimal dose, compare efficacy with placebo over 48 weeks, and offer a long-term open-label extension for safety and blood response monitoring. Part A is a dose-finding phase in adults to establish safety, tolerability and pharmacokinetics/pharmacodynamics. Part B randomizes adults and adolescents to osivelotor or placebo to measure clinical outcomes including vaso-occlusive crises over 48 weeks. The Open-Label Extension follows participants who completed Part B to collect longer-term safety and hematologic data.
Why it matters
Potential benefit: If successful, osivelotor could lower the frequency of painful vaso-occlusive crises and improve hemoglobin or other blood measures for people with sickle cell disease.
How similar studies have gone: Other modern sickle cell therapies such as voxelotor (improving hemoglobin) and crizanlizumab (reducing crises) have shown clinical benefits, so this approach builds on prior successful targeted treatments.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Part A and Part B: * Male or female with SCD, HbSS and HbSB-zero * Participants with Hemoglobin ≥ 5.5 and ≤ 10.5 g/dL during Screening and considered stable by the Investigator. * For participants taking hydroxyurea and/or L-glutamine, the dose must be stable for at least 90 days prior to signing the ICF or assent and with no anticipated need for dose adjustments during the study in the opinion of the Investigator. Part B: * Participants with SCD ages 12 years and older, inclusive at screening. * Participants with more than or equal to 2 and ≤ 10 VOCs within 12 months of Screening. OLE: \- Participants who have completed the Part B successfully will be eligible. Exclusion Criteria: Part A and Part B: * Participants who had more than 10 VOC within 12 months of screening * Female participant who is breastfeeding or pregnant * Participants who receive RBC transfusion therapy regularly or received an RBC transfusion ---for any reason within 90 days of Day 1 * Participants hospitalized for sickle cell crisis or other vaso-occlusive event within 14 days of signing the ICF or anytime during the screening period. * Participants in Sub-Saharan Africa or who have relocated from Sub-Saharan Africa within 6 months. OLE: * Have any unresolved clinically significant adverse event, laboratory abnormality, or safety finding from Part B that, in the opinion of the Investigator, increases the risk of study drug administration. * Met permanent treatment discontinuation criteria during Part B. * Have withdrawn consent or are unable to comply with study procedure
Where it's running
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AMR Clinical
Mobile, Alabama, United States Recruiting -
Edward Jenner Research Group LLC.
Plantation, Florida, United States Recruiting -
Pediatric Hematology / Oncology a division of Kidz Medical services
West Palm Beach, Florida, United States Recruiting -
St. Mary's Medical Center
West Palm Beach, Florida, United States Recruiting -
Children's Center for Advanced Pediatrics
Atlanta, Georgia, United States Recruiting -
University of Illinois at Chicago Clinical Research Center
Chicago, Illinois, United States Recruiting
Show 44 more locations
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University of Illinois Hospital and Health Sciences System - Investigational Drug Services (IDS)
Chicago, Illinois, United States Recruiting -
University of Illinois Hospital and Health Sciences System
Chicago, Illinois, United States Recruiting -
Southern Specialty Research
Flowood, Mississippi, United States Recruiting -
University Health
Kansas City, Missouri, United States Recruiting -
Jack & Sheryl Morris Cancer Center
New Brunswick, New Jersey, United States Recruiting -
Robert Wood Johnson University Hospital
New Brunswick, New Jersey, United States Recruiting -
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, United States Recruiting -
Icahn School of Medicine at Mount Sinai
New York, New York, United States Recruiting -
Jacobi Medical Center
The Bronx, New York, United States Recruiting -
Duke University IDS Pharmacy
Durham, North Carolina, United States Recruiting -
Duke University Medical Center
Durham, North Carolina, United States Recruiting -
ECU Physicians, Brody Outpatient Clinic
Greenville, North Carolina, United States Recruiting -
Prisma Health Laurens County Hospital
Clinton, South Carolina, United States Recruiting -
Prisma Health - Upstate
Greenville, South Carolina, United States Recruiting -
Prisma Health Greenville Memorial Hospital
Greenville, South Carolina, United States Recruiting -
Prisma Health Outpatient Radiology - Greenville
Greenville, South Carolina, United States Recruiting -
Prisma Health Patewood Hospital
Greenville, South Carolina, United States Recruiting -
Prisma Health Greer Memorial Hospital
Greer, South Carolina, United States Recruiting -
Prisma Health Hillcrest Hospital
Simpsonville, South Carolina, United States Recruiting -
Prisma Health North Greenville Hospital
Travelers Rest, South Carolina, United States Recruiting -
Inova Schar Cancer Institute
Fairfax, Virginia, United States Recruiting -
Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto
São José do Rio Preto, São Paulo, Brazil Recruiting -
Nirmal Hospital Pvt Ltd
Surat, Gujarat, India Recruiting -
Haemato Oncology Care Centre
Vadodara, Gujarat, India Recruiting -
Chopda Medicare & Research Centre Pvt. Ltd: Magnum Heart Institute
Nashik, Maharashtra, India Recruiting -
University Hospitals Bristol and Weston NHS Foundation Trust
Bristol, United Kingdom Recruiting -
Bristol Royal Infirmary
Bristol, United Kingdom Recruiting -
University College London Hospital
London, United Kingdom Recruiting -
Guy's & St Thomas' NHS Foundation Trust
London, United Kingdom Recruiting -
King's College Hospital NHS Foundation Trust
London, United Kingdom Recruiting -
Hammersmith Hospital, Imperial College Healthcare NHS Trust
London, United Kingdom Recruiting -
Hammersmith Hospital
London, United Kingdom Recruiting -
Connecticut Children's Medical Center
Hartford, Connecticut, United States Not yet recruiting -
Smilow Cancer Hospital
New Haven, Connecticut, United States Not yet recruiting -
Alpha Clinical Research Georgia
Dunwoody, Georgia, United States Active not recruiting -
Sonar Clinical Research
Riverdale, Georgia, United States Active not recruiting -
LSU Health Baton Rouge-North Clinic
Baton Rouge, Louisiana, United States Active not recruiting -
Our Lady of the Lake Hospital, Inc.
Baton Rouge, Louisiana, United States Active not recruiting -
Our lady of the Lake Hospital
Baton Rouge, Louisiana, United States Active not recruiting -
University Medical Center New Orleans
New Orleans, Louisiana, United States Active not recruiting -
Children's Hospital of Michigan
Detroit, Michigan, United States Not yet recruiting -
Great Lakes Research Institute, Flourish Detroit
Southfield, Michigan, United States Not yet recruiting -
Mississippi Center for Advanced Medicine
Madison, Mississippi, United States Active not recruiting -
Clinical & Translational Research Center (CTRC)
Chapel Hill, North Carolina, United States Not yet recruiting
+30 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Pfizer Pfizer CT.gov Call Center
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
- Phone: 1-800-718-1021
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.